Citation

Nelius T, Filleur S. Aktuelle Urol. 2010; 41(1): 64-66.

Vernacular Title

Die Strangulationsverletzung des Penis.

Affiliation

Texas Tech University Health Sciences Center, Department of Urology.

Copyright

(Copyright © 2010, Georg Thieme Verlag)

DOI

10.1055/s-0029-1224690

PMID

19899049

Abstract

INTRODUCTION: Constricting devices or misappropriated means are either used to increase sexual performance or for autoerotic actions. They can lead to edema, maceration, to local infections up to Fournier gangrene or penile necrosis with or without involvement of the urethra. Injuries by these means are often challenging for the treating urologist. CASE REPORT: A 22-year-old patient presented to the urological emergency clinic with strong pe-nile pain and voiding difficulties. Within the -scope of the clinical investigation a foreign body (frying pan handle) was found around the penis. The -penis appeared to be edematous, and necrosis of the distal superficial penis segments was noted. Under local anesthesia the frying pan handle, -after procurement of suitable instruments, was removed. Subsequently, a suprapubic catheter was inserted and a broad antibiotic therapy was initiated. An antiseptic local therapy com-pleted the primary treatment. Eight weeks after the event an orthograde urethrogram was per-formed. The urethra appeared to behave a normal caliber without evidence for strictures or other patho-morphological changes. The final examination showed a nearly completely epithelialized glans penis, with an approximately 1-cent piece small epithelial defect. CONCLUSIONS: Constricting devices for the penis are used to increase the sexual performance or with autoerotic intentions. Removal of the con-stricting devices can become impossible second-ary to a hefty swelling of the penis. The treatment consists, primarily, of an immediate decompres-sion of the strangulated penis to en-sure a free blood flow and an uninhibited mic-turation. The removal of the various objects -re-quires in part craft instruments. A supplementary therapy must be selected based on existing additional complications.

Language: en